The following list of surveys requests participation from all California pharmacists.


 University of the Pacific, Thomas J. Long School of Pharmacy Survey

Survey Exploring the Relationship Between Grit, Work Engagement, & Career Success Among U.S. Pharmacists

Background: This study will focus on both subjective and objective career success within the pharmacy profession and will examine whether two factors, grit and work engagement, impact career success.


  • If you choose to participate, you will be asked to complete an anonymous survey. Your participation in this study will take approximately 10-15 minutes.
  • Your individual responses and any personal information will be kept strictly confidential and no identifiable information will be linked to survey responses.
  • One of every 10 randomly selected participants will receive a $10 Amazon gift card. Additionally, three types of grand prizes will be offered to 27 randomly selected participants: Amazon Echo Dot (3), Hydro Flask (12), and Yeti Rambler (12). Winners of one raffle will not be excluded from the other. Therefore, you may be selected to receive both a grand prize and an Amazon gift card. At the end of the survey, you will see a link that allows you to submit your name and email address on a form from another website, which will be used to contact you if you win a raffle prize. By adopting two separate websites, survey answers will NOT be linked with any identifiable information.
  • Please see details in the consent form regarding risks, your rights, and any other additional information regarding the survey.

Nareeta Sharma, PharmD

Click here to take the survey


This study is being conducted by Dr. Sally Rafie from the Department of Pharmacy at the University of California San Diego and Birth Control Pharmacist in collaboration with the University of Colorado

Innovation in Pharmacy Access to Contraception During the COVID-19 Pandemic

Background: The purpose of this study is to assess pharmacy and pharmacist practices with birth control during the COVID-19 pandemic.

Survey: The survey is confidential. Your employer will not be included in the analysis or presentation of the data. All information collected will be reported as aggregate data. You are free to decline to answer any particular question you do not wish to answer for any reason. We will ask you for your pharmacist license number to ensure that each survey participant is a California or Colorado licensed pharmacist. There is a small but possible risk of a breach of confidentiality, but study methods are designed to minimize this risk.

Dr. Sally Rafie

Click here to take the survey


Chapman University School of Pharmacy Survey

To Evaluate Pharmacist-Provided Patient Care Services, Reimbursement for Such Services, and Barriers to Providing Them

Background: Under Assembly Bill 1114, pharmacist services are rendered as benefits under the Medi-Cal program, allowing pharmacists to bill and receive 85% of the fee schedule for physician services. These trained services include: Smoking Cessation/Nicotine Replacement Therapy, Naloxone Training, Hormonal Contraceptives, Immunizations, HIV PreP, HIV PEP, and Travel Medicine. This survey was made to research how AB1114 services are being provided, the frequency of its provisions, and the barriers to its implementations in community pharmacies. The goal is to see how pharmacists can better implement these services while receiving the appropriate reimbursements. With this research, we hope to improve and increase awareness of pharmacy services to further ensure quality of patient care. 

Survey: Your individual responses and any personal information will be kept strictly confidential and no individually identifying information will be reported or disseminated. Participation is voluntary and if you choose not to participate, your relationship with CUSP will not be negatively impacted. By completing this survey, you are giving consent for your responses to be used for this student project. The survey is 25 questions long and should only take about 5-10 minutes to complete. If you have any questions or concerns regarding this, please contact Stephanie Sy, information below.

Stephanie Sy
Pharm.D. Candidate ’22
Membership Chair of CHAPSA 2019-2021 
Membership Chair of AMCP 2020-2021
(626) 283-1930

Click here to take the survey


WesternU College of Pharmacy Survey

Survey of Adverse Childhood Experiences in California Doctor of Pharmacy Students

Background: Adverse Childhood Experiences (ACEs) are being increasingly recognized as contributing to poor mental or physical health throughout life. Knowledge of ACE scores is associated with improved ability for individuals to understand themselves and healthcare providers to give optimal care when necessary. Prevalence of ACEs in California student pharmacists is unknown, yet likely relevant to educational institutions in understanding how to foster the best learning environments.

Aims: The purpose of this survey is to measure the prevalence of ACEs in students enrolled in a Doctor of Pharmacy program in the State of California. The secondary purpose is to explore relationships between ACE scores, demographics, mental health, resiliency, and maladaptive coping mechanisms.

Risks & Benefits: There are no foreseeable physical, social, or legal risks to taking the survey. There may be risk of experiencing psychological pain as potentially traumatic events are recalled. Benefits include an increased awareness of ACE score, which could lead to a greater understanding of personal neurodevelopmental history, and increase the probability of receiving appropriate treatment if warranted.

Survey: It is anticipated it will take 10 minutes or less of your time to complete the survey. Participation is both anonymous and voluntary and you may exit the survey at any time.

Compensation: At the completion of the survey, participants may opt to use a link that will take them to a website with additional resources. At the bottom of the website, there is a submission box that allows participants to provide their email address. Participants that provide their email address will be included in a random lottery that will award four $25.00 Amazon gift cards. Gift card winners will be determined upon closing of the survey. If you choose to participate in the survey, the email address provided will in no way be linked to your survey response.

Contact: This survey is being conducted by the California Pharmacy Student Leadership (CAPSLEAD) team at Western University of Health Sciences, College of Pharmacy in Pomona, CA.  If you have any questions or concerns, please contact the Principal Investigator:

Shawn R. Smith, PharmD
Assistant Professor of Pharmacy Practice and Administration
WesternU College of Pharmacy
(909) 469-8363

Please keep these things in mind before you proceed:

  • Your participation is voluntary and you may refuse to participate or withdraw from participation at any time without penalty 
  • There are minimal foreseeable physical, social, or legal risks to taking the survey. There may be a small risk for loss of confidentiality. In order to minimize this risk our survey is anonymous and reporting demographic information is optional.
  • All responses will be kept secure
  • There may be either psychological risks or benefits to survey participation
  • The results of this survey will be reported in aggregate and submission of completed surveys grants permission to use the results in possible future presentations or publications
  • If you choose to participate, the provided email address will in no way be linked to your survey response and will be kept strictly confidential.

Click here to take the survey